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新型肌肉训练装置与常规康复训练在下肢运动功能障碍患者中的比较:一项初步研究。

Comparison of a Novel Muscle Training Device with Conventional Rehabilitation Training in Motor Dysfunction of Lower Limb Patients: A Pilot Study.

机构信息

Clinical Medical Research Center, Shantou Central Hospital, Affiliated Shantou Hospital of Sun Yat-Sen University, Shantou, Guangdong, People's Republic of China.

Department of Cardiothoracic Surgery, The Second Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong, People's Republic of China.

出版信息

Clin Interv Aging. 2020 Nov 18;15:2209-2218. doi: 10.2147/CIA.S277118. eCollection 2020.

Abstract

BACKGROUND

Postoperative functional training for fracture or osteoarthritis is mainly focused on functional self-exercise, which aims to recover the function of the lower limbs.

PURPOSE

To compare the function and life quality recovery in patients with fracture or arthritis treated with novel muscle training device (NMT) or conventional rehabilitation training (CRT) following surgery.

PATIENTS AND METHODS

A total of 32 fracture patients were randomly divided into the NMT or the CRT groups. The evaluation was performed on the first and 7th day after surgery. The outcome measurements included the incidence of foot drop, Deep Vein Thrombosis and pressure ulcers, Hospital for Special Surgery knee score (HSS scores), pain scores for the Visual Analogue Scale (Pain scores for VAS), Zung self-rating anxiety scale (SAS), Pittsburgh sleep quality index (PSQI) and the Barthel Index score.

RESULTS

The comparison of the change scores between the two groups indicated significant differences on day 7 following surgery in the Barthel Index score (P<0.01). The Pain scores for VAS between the two groups indicated a significant difference (P<0.05, U=20.0). The HSS scores between the two groups indicated a significant difference (P<0.05, U=19.0). The HSS scores exhibited a highly significant difference in the NMT group (P<0.01). The Mann-Whitney test was used to analyze the various components of the HSS scores. The comparison of the change scores on the function between the two groups indicated a significant difference (P<0.05). The Range of Motion difference between groups exhibited highly significant differences (P<0.01).

CONCLUSION

The novel muscle training device positively influenced the decrease in pain score, which resulted in a range increase of knee joint movement and a significant overall improvement in motion.

摘要

背景

骨折或骨关节炎术后的功能训练主要侧重于功能自我锻炼,旨在恢复下肢功能。

目的

比较新型肌肉训练器(NMT)和常规康复训练(CRT)对骨折或关节炎患者术后功能和生活质量的恢复作用。

患者和方法

将 32 例骨折患者随机分为 NMT 或 CRT 组。在术后第 1 天和第 7 天进行评估。结果测量包括足下垂、深静脉血栓形成和压疮的发生率、纽约特种外科医院膝关节评分(HSS 评分)、视觉模拟量表(VAS)疼痛评分、Zung 自评焦虑量表(SAS)、匹兹堡睡眠质量指数(PSQI)和 Barthel 指数评分。

结果

两组之间的变化评分比较显示,术后第 7 天 Barthel 指数评分差异有统计学意义(P<0.01)。两组 VAS 疼痛评分差异有统计学意义(P<0.05,U=20.0)。两组 HSS 评分差异有统计学意义(P<0.05,U=19.0)。NMT 组 HSS 评分差异有高度统计学意义(P<0.01)。采用 Mann-Whitney 检验分析 HSS 评分的各个组成部分。两组之间功能变化评分的比较差异有统计学意义(P<0.05)。组间运动范围差异有高度统计学意义(P<0.01)。

结论

新型肌肉训练器对减轻疼痛有积极影响,导致膝关节运动范围增加,运动功能显著整体改善。

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